Individual
DR. ANNA LAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7207 N M1 HWY, GLADSTONE, MO 64119-5351
(816) 468-0045
Mailing address
7207 N M1 HWY, KANSAS CITY, MO 64119-5351
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2013026237
MO
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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